| Anesthesia for Off-pump Coronary Artery Bypass Grafting Surgery in a Child with Coronary Disease due to Kawasaki Disease. |
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Seong Wook Hong, Jae Kwang Shim, Yong Seon Choi, Seung Bum Hong, Young Lan Kwak |
1Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea. ylkwak@yuhs.ac
2Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea.
3Yonsei Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Korea. |
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| Abstract |
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Kawasaki disease (KD) is an acute, self-limiting, small-vessel vasculitis with an unknown cause that affects children between the ages of 6 months and 5 years. Its important acute complication is coronary artery aneurysm.
Myocardial infarction caused by thrombus formation inside the aneurysm or by organic obstructive lesion following the regression of aneurysm is the principal cause of death in KD. However, coronary artery aneurysms and stenosis requiring surgery are rare in KD. We report an our experience about anesthetic management of child undergone off-pump coronary artery bypass grafting surgery because of coronary artery aneurysm associated with KD. |
| Key Words:
coronary artery aneurysm; off-pump coronary artery bypass surgery; Kawasaki disease (KD) |
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